Individual
JASON L HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8262 MARKET ST STE 103, WILMINGTON, NC 28411-9681
(910) 686-3396
(910) 686-3397
Mailing address
8262 MARKET ST STE 103, WILMINGTON, NC 28411-9681
(910) 686-3396
(910) 686-3397
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1904
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89093RU
—
NC
Enumeration date
09/28/2006
Last updated
09/25/2012
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